Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

MESH OVAL ULTRA PRO LARGE

Facility

$995.00

Hospital Charge Code	270701545
Hospital Revenue Code	278
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$240.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

MESH OVAL ULTRA PRO LARGE

Facility

$995.00

Hospital Charge Code	270701545
Hospital Revenue Code	278
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$378.10
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Community & State	$31.44
Rate for Payer: Wellpoint Medicaid Managed Care	$28.26

MESH PARIATIX SKIRT 6 X 4

Facility

$3,192.50

Service Code	HCPCS C1781
Hospital Charge Code	270679896
Hospital Revenue Code	278
Min. Negotiated Rate	$478.88
Max. Negotiated Rate	$772.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$638.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$772.59
Rate for Payer: Qualcare PPO/HMO/WC	$478.88

MESH PARIATIX SKIRT 6 X 4

Facility

$3,192.50

Service Code	HCPCS C1781
Hospital Charge Code	270679896
Hospital Revenue Code	278
Min. Negotiated Rate	$90.67
Max. Negotiated Rate	$1,596.25
Rate for Payer: Aetna Commercial	$1,213.15
Rate for Payer: Aetna Medicare Advantage	$957.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$814.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$814.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$638.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$814.09
Rate for Payer: Cigna Commercial	$1,596.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$772.59
Rate for Payer: Qualcare PPO/HMO/WC	$478.88
Rate for Payer: UnitedHealthcare Community & State	$100.88
Rate for Payer: Wellpoint Medicaid Managed Care	$90.67

MESH PARIETEX 9cm ROUND

Facility

$1,571.90

Service Code	HCPCS C1781
Hospital Charge Code	270664234
Hospital Revenue Code	278
Min. Negotiated Rate	$235.78
Max. Negotiated Rate	$380.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.40
Rate for Payer: Qualcare PPO/HMO/WC	$235.78

MESH PARIETEX 9cm ROUND

Facility

$1,571.90

Service Code	HCPCS C1781
Hospital Charge Code	270664234
Hospital Revenue Code	278
Min. Negotiated Rate	$44.64
Max. Negotiated Rate	$785.95
Rate for Payer: Aetna Commercial	$597.32
Rate for Payer: Aetna Medicare Advantage	$471.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.83
Rate for Payer: Cigna Commercial	$785.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.40
Rate for Payer: Qualcare PPO/HMO/WC	$235.78
Rate for Payer: UnitedHealthcare Community & State	$49.67
Rate for Payer: Wellpoint Medicaid Managed Care	$44.64

MESH PARIETEX RETANGLE 25X20CM

Facility

$12,810.00

Hospital Charge Code	270671349
Hospital Revenue Code	278
Min. Negotiated Rate	$363.80
Max. Negotiated Rate	$6,405.00
Rate for Payer: Aetna Commercial	$4,867.80
Rate for Payer: Aetna Medicare Advantage	$3,843.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,266.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,266.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,562.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,266.55
Rate for Payer: Cigna Commercial	$6,405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,100.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,921.50
Rate for Payer: UnitedHealthcare Community & State	$404.80
Rate for Payer: Wellpoint Medicaid Managed Care	$363.80

MESH PARIETEX RETANGLE 25X20CM

Facility

$12,810.00

Hospital Charge Code	270671349
Hospital Revenue Code	278
Min. Negotiated Rate	$1,921.50
Max. Negotiated Rate	$3,100.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,562.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,100.02
Rate for Payer: Qualcare PPO/HMO/WC	$1,921.50

MESH PELVIC SLING URETH SOLYX

Facility

$10,797.10

Service Code	HCPCS C1771
Hospital Charge Code	270695722
Hospital Revenue Code	278
Min. Negotiated Rate	$1,619.57
Max. Negotiated Rate	$2,612.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,159.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,612.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,619.57

MESH PELVIC SLING URETH SOLYX

Facility

$10,797.10

Service Code	HCPCS C1771
Hospital Charge Code	270695722
Hospital Revenue Code	278
Min. Negotiated Rate	$306.64
Max. Negotiated Rate	$5,398.55
Rate for Payer: Aetna Commercial	$4,102.90
Rate for Payer: Aetna Medicare Advantage	$3,239.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,753.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,753.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,159.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,753.26
Rate for Payer: Cigna Commercial	$5,398.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,612.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,619.57
Rate for Payer: UnitedHealthcare Community & State	$341.19
Rate for Payer: Wellpoint Medicaid Managed Care	$306.64

MESH PERMACOL 10X15CMX1MM

Facility

$17,838.25

Service Code	HCPCS C1781
Hospital Charge Code	270663577
Hospital Revenue Code	278
Min. Negotiated Rate	$2,675.74
Max. Negotiated Rate	$4,316.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,567.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,316.86
Rate for Payer: Qualcare PPO/HMO/WC	$2,675.74

MESH PERMACOL 10X15CMX1MM

Facility

$17,838.25

Service Code	HCPCS C1781
Hospital Charge Code	270663577
Hospital Revenue Code	278
Min. Negotiated Rate	$506.61
Max. Negotiated Rate	$8,919.12
Rate for Payer: Aetna Commercial	$6,778.53
Rate for Payer: Aetna Medicare Advantage	$5,351.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,548.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,548.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,567.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,548.75
Rate for Payer: Cigna Commercial	$8,919.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,316.86
Rate for Payer: Qualcare PPO/HMO/WC	$2,675.74
Rate for Payer: UnitedHealthcare Community & State	$563.69
Rate for Payer: Wellpoint Medicaid Managed Care	$506.61

MESH PERMACOL 10X15X1.5MM

Facility

$17,404.00

Hospital Charge Code	270677075
Hospital Revenue Code	278
Min. Negotiated Rate	$494.27
Max. Negotiated Rate	$8,702.00
Rate for Payer: Aetna Commercial	$6,613.52
Rate for Payer: Aetna Medicare Advantage	$5,221.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,438.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,438.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,480.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,438.02
Rate for Payer: Cigna Commercial	$8,702.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,211.77
Rate for Payer: Qualcare PPO/HMO/WC	$2,610.60
Rate for Payer: UnitedHealthcare Community & State	$549.97
Rate for Payer: Wellpoint Medicaid Managed Care	$494.27

MESH PERMACOL 10X15X1.5MM

Facility

$17,404.00

Hospital Charge Code	270677075
Hospital Revenue Code	278
Min. Negotiated Rate	$2,610.60
Max. Negotiated Rate	$4,211.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,480.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,211.77
Rate for Payer: Qualcare PPO/HMO/WC	$2,610.60

MESH PERMACOL 20x30cm x 1.5mm

Facility

$61,236.25

Service Code	HCPCS C1781
Hospital Charge Code	270663578
Hospital Revenue Code	278
Min. Negotiated Rate	$9,185.44
Max. Negotiated Rate	$14,819.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,247.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,819.17
Rate for Payer: Qualcare PPO/HMO/WC	$9,185.44

MESH PERMACOL 20x30cm x 1.5mm

Facility

$61,236.25

Service Code	HCPCS C1781
Hospital Charge Code	270663578
Hospital Revenue Code	278
Min. Negotiated Rate	$1,739.11
Max. Negotiated Rate	$30,618.12
Rate for Payer: Aetna Commercial	$23,269.78
Rate for Payer: Aetna Medicare Advantage	$18,370.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,615.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,615.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,247.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,615.24
Rate for Payer: Cigna Commercial	$30,618.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,819.17
Rate for Payer: Qualcare PPO/HMO/WC	$9,185.44
Rate for Payer: UnitedHealthcare Community & State	$1,935.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1,739.11

MESH PHASIX 4 IN x 6 IN

Facility

$13,875.00

Service Code	HCPCS C1781
Hospital Charge Code	270681780
Hospital Revenue Code	278
Min. Negotiated Rate	$394.05
Max. Negotiated Rate	$6,937.50
Rate for Payer: Aetna Commercial	$5,272.50
Rate for Payer: Aetna Medicare Advantage	$4,162.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,538.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,538.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,775.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,538.12
Rate for Payer: Cigna Commercial	$6,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,357.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,081.25
Rate for Payer: UnitedHealthcare Community & State	$438.45
Rate for Payer: Wellpoint Medicaid Managed Care	$394.05

MESH PHASIX 4 IN x 6 IN

Facility

$13,875.00

Service Code	HCPCS C1781
Hospital Charge Code	270681780
Hospital Revenue Code	278
Min. Negotiated Rate	$2,081.25
Max. Negotiated Rate	$3,357.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,357.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,081.25

MESH PHASIX 6X8 INCH

Facility

$28,875.00

Service Code	HCPCS C1781
Hospital Charge Code	270697136
Hospital Revenue Code	278
Min. Negotiated Rate	$4,331.25
Max. Negotiated Rate	$6,987.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,987.75
Rate for Payer: Qualcare PPO/HMO/WC	$4,331.25

MESH PHASIX 6X8 INCH

Facility

$28,875.00

Service Code	HCPCS C1781
Hospital Charge Code	270697136
Hospital Revenue Code	278
Min. Negotiated Rate	$820.05
Max. Negotiated Rate	$14,437.50
Rate for Payer: Aetna Commercial	$10,972.50
Rate for Payer: Aetna Medicare Advantage	$8,662.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,363.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,363.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,775.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,363.12
Rate for Payer: Cigna Commercial	$14,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,987.75
Rate for Payer: Qualcare PPO/HMO/WC	$4,331.25
Rate for Payer: UnitedHealthcare Community & State	$912.45
Rate for Payer: Wellpoint Medicaid Managed Care	$820.05

MESH PHASIX ROUND 3IN 7.6CM

Facility

$7,324.00

Service Code	HCPCS C1781
Hospital Charge Code	270697134
Hospital Revenue Code	278
Min. Negotiated Rate	$208.00
Max. Negotiated Rate	$3,662.00
Rate for Payer: Aetna Commercial	$2,783.12
Rate for Payer: Aetna Medicare Advantage	$2,197.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,867.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,867.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,464.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,867.62
Rate for Payer: Cigna Commercial	$3,662.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,772.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,098.60
Rate for Payer: UnitedHealthcare Community & State	$231.44
Rate for Payer: Wellpoint Medicaid Managed Care	$208.00

MESH PHASIX ROUND 3IN 7.6CM

Facility

$7,324.00

Service Code	HCPCS C1781
Hospital Charge Code	270697134
Hospital Revenue Code	278
Min. Negotiated Rate	$1,098.60
Max. Negotiated Rate	$1,772.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,464.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,772.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,098.60

MESH PHASIX ROUND 4IN 11CM

Facility

$13,755.00

Service Code	HCPCS C1781
Hospital Charge Code	270697135
Hospital Revenue Code	278
Min. Negotiated Rate	$2,063.25
Max. Negotiated Rate	$3,328.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,751.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,328.71
Rate for Payer: Qualcare PPO/HMO/WC	$2,063.25

MESH PHASIX ROUND 4IN 11CM

Facility

$13,755.00

Service Code	HCPCS C1781
Hospital Charge Code	270697135
Hospital Revenue Code	278
Min. Negotiated Rate	$390.64
Max. Negotiated Rate	$6,877.50
Rate for Payer: Aetna Commercial	$5,226.90
Rate for Payer: Aetna Medicare Advantage	$4,126.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,507.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,507.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,751.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,507.53
Rate for Payer: Cigna Commercial	$6,877.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,328.71
Rate for Payer: Qualcare PPO/HMO/WC	$2,063.25
Rate for Payer: UnitedHealthcare Community & State	$434.66
Rate for Payer: Wellpoint Medicaid Managed Care	$390.64

MESH PHASIX ST 20 X 25

Facility

$58,000.00

Service Code	HCPCS C1784
Hospital Charge Code	270687051
Hospital Revenue Code	278
Min. Negotiated Rate	$8,700.00
Max. Negotiated Rate	$14,036.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,036.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,700.00

Know your out-of-pocket cost for care.

All Charges